Approximately 10 to 20 % of OPD patients (Females more than males) (Post surgery more than others) have these disorders. Supine Technique with endorectal filling of ultrasound jelly(120ml average) or mashed potatoes doped with Gadolinium (about1.5 ml) would simulate the normal process

Anorectal angle (ARA)(between the post border of distal rectum and the central axis of anal canal ) and Pubcoccygeal line (PCL) (inferior pubic symphysis to last coccygeal joint) are the mainstay for study with normal ARA (posteriorly) at rest 90-100 degree, during straining 70-90 degree to during defecation 110-180 degrees.

Disorders to study:

1) Rectoceles( significant if more than 2cms or retention of contrast or reproducibility of symptoms or need for evacuation help by pressing the post vaginal wall)

2)Descending Perineum syndrome (bulging of perineum at rest instead of only at straining)

About Dr. Sumer Sethi

Number of Entries : 35

Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.